What this medicine is used for

The name of your medicine is Terry White Chemists Meloxicam. It contains the active ingredient meloxicam.

It is used to treat the symptoms of

osteoarthritis

rheumatoid arthritis

Both diseases mainly affect the joints causing pain and swelling.

Although meloxicam can relieve symptoms such as pain and inflammation, it will not cure your condition.

Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed this medicine for another reason.

This medicine is available only with a doctor's prescription.

How it works

Meloxicam belongs to a family of medicines called Non-Steroidal Anti-inflammatory Drugs (NSAIDs).

These medicines work by relieving pain and inflammation.

There is no evidence that this medicine is addictive.

Use in children

Do not give meloxicam to children and adolescents under 18 years of age.

Before you take this medicine

When you must not take it

Do not take this medicine if:

You are about to undergo coronary artery bypass graft surgery

You have a disease of the heart with shortness of breath, and swelling of the feet or lips due to fluid build-up

You experience bleeding from the stomach, gut or any other bleeding

You have had a stroke resulting from a bleed in the brain or have a bleeding disorder

You currently have a peptic (stomach) ulcer

You have Crohn's Disease or Ulcerative Colitis

You have severe liver or kidney problems

You are currently taking other medicines known as: sulfinpyrazone (used to treat gout), fluconazole (used to treat fungal infections) or certain sulfur antibiotics (eg. sulfaphenazole or sulfamethoxazole)

You are breastfeeding or intend to breastfeed

Meloxicam may pass into breast milk and affect your baby.

You have had any of the following symptoms after taking aspirin or other NSAIDS: asthma, nasal polyps, swollen face or urticaria

You have had an allergic reaction to meloxicam, aspirin, any other NSAID medicines or any of the ingredients listed at the end of this leaflet. This includes rare inherited conditions of galactose intolerance. These tablets contain lactose

Symptoms of an allergic reaction may include: shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue, throat or other parts of the body; rash, itching or hives on the skin.

If you think you are having an allergic reaction, contact your doctor immediately or go to the Accident and Emergency department at the nearest hospital.

The expiry date (EXP) printed on the pack has passed.

The packaging is torn, shows signs of tampering or it does not look quite right.

Before you start to take it

Before you start taking this medicine, tell your doctor if:

1.You have allergies to:

any other medicines, including aspirin or other NSAID medicines

lactose - this medicine contains lactose

any other substances, such as foods, preservatives or dyes.

2.You have or have had any medical conditions, especially the following:

high blood pressure or fluid retention

diabetes

high cholesterol or other risk factors for heart disease

heartburn, indigestion, ulcers or other stomach problems

kidney or liver disease

asthma or any other breathing problems

3.You are using an IUD (Intra-Uterine Device) for birth control.

4.You are currently pregnant or you plan to become pregnant. Do not take this medicine whilst pregnant until you and your doctor have discussed the risks and benefits involved.

5.You are planning to have surgery or an anaesthetic.

6.You are currently receiving or are planning to receive dental treatment.

7.You are taking or are planning to take any other medicines; this includes vitamins and supplements that are available from your pharmacy, supermarket or health food shop.

Some medicines may interact with meloxicam. These include:

any other medicines used to treat high blood pressure and some other heart problems- such as ACE inhibitors, angiotensin receptor antagonists and diuretics (also called fluid or water tablets). When taken together these medicines can cause kidney problems

aspirin, salicylates or other NSAID medicines

medicines used to thin your blood (such as warfarin, heparin and ticlopidine)

Do not stop taking your medicine or change your dosage without first checking with your doctor.

How to take it

Swallow meloxicam capsules whole, with fluid.

When to take it

It is best to take meloxicam immediately after food to avoid the chance of an upset stomach.

Take this medicine at the same time each day, either morning or evening. Taking it at the same time each day will have the best effect and will also help you remember when to take it.

How long to take it for

Continue taking your medicine for as long as your doctor tells you.

Make sure you have enough to last over weekends and holidays.

If you forget to take it

If it is almost time to take your next dose, skip the missed dose and take your next dose at the usual time.

Otherwise take it as soon as you remember and then go back to taking your medicine as you would normally.

Do not take a double dose to make up for missed doses.

This may increase the chance of side effects.

If you have trouble remembering to take your medicine, ask your pharmacist for some hints to help you remember.

If you take too much (overdose)

If you think that you or anyone else may have taken too much of this medicine, immediately telephone your doctor or the Poisons Information Centre (Tel: 13 11 26 in Australia) for advice. Alternatively go to the Accident and Emergency Department at your nearest hospital.

Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.

Signs of an overdose with meloxicam may include:

nausea and/or vomiting

headache

drowsiness

blurred vision

dizziness

fits or seizures

low blood pressure

difficulty in breathing

impaired consciousness

kidney failure.

While you are taking this medicine

Things you must do

Tell your doctor that you are taking this medicine if:

you are about to be started on any new medicine

you become pregnant

you are breastfeeding or are planning to breastfeed

you are about to have any blood tests

you are going to have surgery, including dental surgery or are going into hospital.

Meloxicam can slow down blood clotting.

you get an infection while using meloxicam

Meloxicam may hide some of the signs of an infection (e.g. pain, fever, redness and swelling). You may think, mistakenly, that you are better or that the infection is not serious.

Your doctor may occasionally do tests to make sure the medicine is working and to prevent side effects. Go to your doctor regularly for a check-up.

Tell any other doctors, dentists and pharmacists who are treating you that you take this medicine.

Things you must not do

Do not:

Give this medicine to anyone else, even if their symptoms seem similar to yours

Take your medicine to treat any other condition unless your doctor or pharmacist tells you to

Stop taking your medicine, or change the dosage, without first checking with your doctor.

Things to be careful of

Be careful when driving or operating machinery until you know how meloxicam affects you.

As with other NSAID medicines, meloxicam may cause dizziness, drowsiness or blurred vision in some people.

Make sure you know how you react to meloxicam before you drive a car, operate machinery, or do anything else that could be dangerous.

Possible side effects

Tell your doctor as soon as possible if you do not feel well while you are taking meloxicam or if you have any questions or concerns.

Do not be alarmed by the following lists of side effects. You may not experience any of them. All medicines can have side effects. Sometimes they are serious but most of the time they are not.

Tell your doctor or pharmacist if you notice any of the following:

stomach upset including nausea

vomiting, heartburn, indigestion, belching, cramps or pain

headache

sore mouth or throat, discomfort when swallowing

constipation, diarrhoea or wind

dizziness or light-headedness

skin rashes, which may be caused by exposure to sunlight, can blister and may take on the appearance of a severe burn

increase in blood pressure

tinnitus (ringing in the ear)

difficulty falling pregnant.

Tell your doctor immediately if you notice any of the following.

These may be serious side effects and you may need medical attention.

blurred vision

any change in the amount or colour of your urine (red or brown) or any pain or difficulty experienced when urinating

weakness in one part or side of your body, slurred speech, blurred vision or visual disturbances

flu-like symptoms, followed by irritation of your mucous membranes (e.g. lips, mouth, eyes or genitals) and a painful red or purplish rash that spreads and blisters.

Other side effects not listed above may occur in some patients.

Allergic reactions

If you think you are having an allergic reaction to meloxicam, do not take any more of this medicine and tell your doctor immediately or go to the Accident and Emergency department at your nearest hospital.

Symptoms of an allergic reaction may include some or all of the following:

cough, shortness of breath, wheezing or difficulty breathing

swelling of the face, lips, tongue, throat or other parts of the body

rash, itching or hives on the skin

fainting

hay fever-like symptoms.

Storage and disposal

Storage

Keep your medicine in its original packaging until it is time to take it.

If you take your medicine out of its original packaging it may not keep well.

Keep your medicine in a cool dry place where the temperature will stay below 25°C.

Do not store your medicine, or any other medicine, in the bathroom or near a sink. Do not leave it on a window sill or in the car. Heat and dampness can destroy some medicines.

Keep this medicine where children cannot reach it.

A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.

Disposal

If your doctor or pharmacist tells you to stop taking this medicine or they have passed their expiry date, your pharmacist can dispose of the remaining medicine safely.